Urology

Urology Billing Services and Practice Management

The success and financial strength of your Urology practice is a direct result of quality, timely billing and account reimbursement. With the recent changes in the Urology billing rules and reimbursement for certain surgical procedures, including bundled payment rules and global surgery package by CMS Medicare and Medicaid, it has become critical for Urology practices to hire a Urology billing company that has the experience necessary to navigate the complexities of Urology Billing.

While these new regulations may seem extremely overwhelming for many Urology practices, with a careful planning and practice analysis, it is entirely possible to manage a very successful Urology practice under the new bundled payments model and global surgery package.

GHMS provides Urology Billing and Coding experts who ensure maximum allowable reimbursement for your practice. Having the knowledge and proficiency to handle complex Urology billing and coding requirements set forth by Medicare, Medicaid and third party insurance companies, they know when and how to bill for Urology surgical procedures performed, including bilateral and multiple surgeries, co-surgeons and team surgeries.

Urology Practice Analysis

Global Health Management Services provides a complimentary benchmark analysis that demonstrates the performance of your Urology practice revenue in accordance with national and regional measures. Our courtesy evaluation provides a comprehensive assessment of each element of your Urology revenue cycle which includes the accuracy of your coding, billing and reimbursement practices.

Global Health offers a wide variety of Urology Medical Billing and Practice Management services. To better customize the menu of benefits for your practice, our Urology Practice Management Consultants conduct a complimentary comparison to demonstrate how your business compares with similar providers, practices and facilities. The practice analysis results provide the specifics for coordinating the most efficient and comprehensive strategy for increasing your revenue.

Clients are welcome to choose one or any combination of our Urology Practice Management services. Our informed recommendation, and the preference of the majority of our Urology clients, supports the bundling of our Urology practice management services to streamline the revenue cycle while reducing expenses.

Payer contract negotiations, evaluation and renegotiations is very critical to every Urology practice, yet many practices only set up their managed contracts one time and allow them to automatically renew without any negotiations. Most Urology practitioners lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers.

GHMS, a national Urology billing and coding company provides professional certified medical coders and billers who specialize in Urology distinct set of codes and modifiers. Working together, our certified medical coders and Urology specialized billers will identify past billing problems and denied claims, evaluate underpayments, submit claims appeals with correct documentation and bill appropriately with the correct ICD, CPT and Modifier codes to insure maximum reimbursement.

Urology Billing Services

GHMS’s Urology Medical Billing specialists can manage all aspects of your Urology practice’s billing and revenue cycle and will work in conjunction with your Urology practice to ensure you receive the appropriate reimbursement for services performed. We focus on maximizing every bill to each payer by also ensuring compliancy and sending each bill out in a prompt and timely manner resulting in the fastest revenue response from the payer directly to your Urology practice.

Our Urology Billing Specialists will

analyze, recognize and advise you of the advantages of reimbursement fee trending

keep current with insurance specifications and regulations and ensure the fees are kept at the maximum allowable reimbursement

focus on accurate procedure and diagnosis codes so claims are not suspended or rejected

carefully analyze insurance payments and Explanation of Benefits to ensure accurate payment and take appropriate action if necessary

Our team of Urology billing specialists work closely with your practice and provide the necessary and continuing education on the best documentation and billing practices for procedures performed, including keeping your Urology practice up to date with the latest CMS Medicare, Medicaid billing and documentation requirements, certifications and regulations.

At Global Health Management Services we make sure that you receive the maximum amount covered by the insurance companies while minimizing out of pocket expenses for your patients.

In order to maximize your revenue, it’s important to have Urology billers and coders who specialize in Urology practices and who understand the requirements needed to successfully bill Medicare, Medicaid and insurance companies for payment in order to receive the maximum allowable reimbursements. At GHMS, we are Urology Billing and Coding experts with proven results for our Urology clients.

Urology AR Management

Global Health Managements Services’ innovative Urology A/R Management coupled with our collection services have been providing Urology practices improved collections over the past two decades. We are able to improve collections within a short period of time.

Our success comes from accurate, timely and professional Urology billing followed by serious A/R follow up and collection activity by dedicated professionals who use technology to process and accomplish the task of collecting more, faster.

Each claim is meticulously tracked and followed up by our trained and experienced medical billing staff until the payment is received.

We have dedicated Urology A/R managers to follow up with payers and patients.

Internal processes are clearly laid out to expedite collections and ensure follow through for each claim.